Healthcare Provider Details

I. General information

NPI: 1023927985
Provider Name (Legal Business Name): ZACHARY COUCH LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

761 N THORNTON ST STE E
POST FALLS ID
83854-6105
US

IV. Provider business mailing address

761 N THORNTON ST STE E
POST FALLS ID
83854-6105
US

V. Phone/Fax

Practice location:
  • Phone: 208-981-3700
  • Fax:
Mailing address:
  • Phone: 208-981-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2381912
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: